MR. GARY BENTON WILLIAMSON (NPI# 1992721930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992721930 |
| Entity Type | Individual |
| Full Name | MR. GARY BENTON WILLIAMSON |
| Credential | MD |
| Practice Address |
2258 Wrightsboro Rd Suite 180 Augusta GA 30904 |
| Practice Telephone | 7067378827 |
| Practice Fax Number | 7067378916 |
| Mailing Telephone | 7067378827 |
| Mailing Fax Number | 7067378916 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
023314 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255581534 | Gary Allan Williamson | Dentist | 23 S Cannon Ave, Hagerstown, MD 21740-5705 | 2008-09-24 |
| 1720022361 | Gary Williamson | Specialist/Technologist | 1902 S Center St, Marshalltown, IA 50158-5945 | 2006-06-15 |
| 1538543228 | Gary Williamson | Social Worker | 118 N 5th St, Oneill, NE 68763-1565 | 2015-07-13 |
| 1851333850 | Gary W Williamson | Emergency Medicine | 800 E Dawson St, Tyler, TX 75701-2036 | 2006-06-12 |
| Street Address |
2258 WRIGHTSBORO RD SUITE 180 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891793253 | Asa Daniel Duggan Jr. | Surgery | 2258 Wrightsboro Rd, Augusta, GA 30904-4887 | 2005-07-11 |
| 1396219390 | Rosetta Ann Derrick | Nurse Practitioner | 2258 Wrightsboro Rd, Augusta, GA 30904-4887 | 2019-01-14 |
| 1144690033 | Riverside Anesthesia | Nurse Anesthetist, Certified Registered | 2258 Wrightsboro Rd, Augusta, GA 30904-4887 | 2015-10-05 |
| 1366811036 | Melonie Taylor Mcbride | Physical Therapist | 2258 Wrightsboro Rd, Suite 250, Augusta, GA 30904-4887 | 2015-09-23 |
| 1811365596 | Maguire Therapy Services | Massage Therapist | 2258 Wrightsboro Rd, Augusta, GA 30904-4887 | 2015-09-11 |
| 1881060879 | Giovanna Mustin | Occupational Therapy Assistant | 2258 Wrightsboro Rd, Augusta, GA 30904-4887 | 2015-08-13 |
| 1578948782 | Maguire Therapy Services,inc. | Occupational Therapy Assistant | 2258 Wrightsboro Rd, Suite 250, Augusta, GA 30904-4887 | 2015-07-29 |
| 1679960561 | Christina Samar Khal | Occupational Therapist | 2258 Wrightsboro Rd, Suite 250, Augusta, GA 30904-4887 | 2015-04-20 |
| 1346688058 | Niti Bhalla Carlson Md PC | Obstetrics & Gynecology | 2258 Wrightsboro Rd, Suite 200, Augusta, GA 30904-4887 | 2013-06-05 |
| 1710249966 | Gary Williamson, M.d., P.C. | Plastic Surgery | 2258 Wrightsboro Rd, Suite 180, Augusta, GA 30904-4887 | 2012-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790929388 | James Bartow Collins | Surgery | 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909-1868 | 2009-04-27 |
| 1942458740 | Kenna S Given, Md, PC | Surgery | 1120 15th St, Augusta, GA 30912-0004 | 2008-09-04 |
| 1114147931 | Piotr Pawel Skowronski | Surgery | 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909-1868 | 2007-04-26 |
| 1093820375 | Anthony Perrone | Surgery | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2006-08-20 |
| 1841267549 | Hermann K Orlet | Surgery | 3675 J Dewey Gray Circle, Suite 300, Augusta, GA 30909-1868 | 2006-03-02 |
| 1356323802 | Christopher James Ewart | Surgery | 1348 Walton Way, Suite 6300, Augusta, GA 30901-5104 | 2005-11-18 |
| 1518949973 | Randolph Relihan Smith | Surgery | 1348 Walton Way, Suite 6300, Augusta, GA 30901-5104 | 2005-11-18 |
| 1518958362 | George Stephenson Drew | Surgery | 820 Saint Sebastian Way, Suite 1a, Augusta, GA 30901-2643 | 2005-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427668342 | Spa Medical LLC | Surgery | 455 Plum St, Macon, GA 31201-3368 | 2020-08-05 |
| 1356972848 | North Atlanta Plastic Surgery Group LLC | Surgery | 11877 Douglas Rd Ste 102-367, Johns Creek, GA 30005-4325 | 2020-02-03 |
| 1881100337 | Rpc Employee Services, LLC | Surgery | 975 Johnson Ferry Rd Ste 100, Atlanta, GA 30342-1618 | 2017-12-20 |
| 1093255044 | Southeastern Aesthetic and Reconstructive Surgery | Surgery | 155 Greenville St, Newnan, GA 30263-2630 | 2017-02-24 |
| 1700249042 | Justin Kyle Williams | Surgery | 3200 Downwood Cir Nw Ste 640-4, Atlanta, GA 30327-1610 | 2016-04-04 |
| 1871901009 | Southeastern Reconstructive Services LLC | Surgery | 5205 Frederick St Ste B, Savannah, GA 31405-4520 | 2014-07-31 |
| 1730479452 | Olumayowa Pitan Abiodun | Surgery | 2709 Meredyth Dr Ste 340, Albany, GA 31707 | 2011-04-14 |
| 1609175421 | Randal H. Rudderman Md Inc | Surgery | 3400-c Old Milton Pkwy, Ste 450, Alpharetta, GA 30005-3707 | 2011-03-18 |
| 1033374392 | James Bradford Depew | Surgery | 120 Vann St Ne Ste 150, Marietta, GA 30060 | 2008-07-25 |
| 1255591814 | Corey Patrick Harkins | Surgery | 120 Vann Street, Suite 150, Marietta, GA 30060 | 2008-06-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.